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include the following. Other duties may be assigned. Assures that quality assurance procedures are performed on all work products before the product is delivered. Writes technical reports, quality improvement studies, and other reports as appropriate, and is primarily responsible for their technical defensibility and accuracy. Develops and implements strategies for priority setting in terms of tar
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Performs clinical assessment functions of the review program as outlined by procedures, by conducting an initial screening for the Expert Reviewer/Medical Director. This review may be performed prior to admission, concurrently, or retrospectively, depending on contract requirements. May work on any contract for which training has been provided. Essential Responsibilities Reviews medical records to
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Medical Records Abstractor Job Location Dallas, TX Position Type Full Time/Regular Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including quality improvement, population health, utilization review, managed care organization qu
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Medical Records Abstractor Job Location Easton, MD Position Type Full Time/Regular Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including quality improvement, population health, utilization review, managed care organization qu
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Medical Records Abstractor Job Location Baltimore, MD Position Type Full Time/Regular Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including quality improvement, population health, utilization review, managed care organization
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Medical Records Abstractor Job Location Pittsburgh, PA Position Type Full Time/Regular Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including quality improvement, population health, utilization review, managed care organizatio
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Medical Records Abstractor Job Location Philadelphia, PA Position Type Full Time/Regular Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including quality improvement, population health, utilization review, managed care organizat
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This job has no supervisory responsibilities. Required Skills To perform the job successfully, an individual should demonstrate the following competencies Analytical Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures. Problem Solving Identifies and resolves problems in a timely manner; Gather
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Conducts detailed evaluation of provider performance and the presence of person centered supports using applicable tools and guidelines. Initiates contact with service providers to establish interview and review schedules and discuss associated protocols, expectations, and responsibilities. Conducts interviews with individuals with an intellectual or developmental disability, providers of services
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Senior professional position performs study design, data analysis, and report preparation. Studies originate from preliminary data analysis (trends), literature review, experience and expertise of the team, and mandated projects. Data analysis, including data preparation and presentation of findings is performed in conjunction with other analysts. Reports are drafted by teams with leadership of Sc
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While medical review and support of review determinations will be the primary responsibilities of this position, the Medical Director job description includes the following essential duties and responsibilities. Other duties may be assigned. Provides clinical information to teams Medical Review Oversight may include Physician peer review activities Criteria development and assessment Correspondenc
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Medical Director ID Hospice Medical Review Contract Job Location Boise, ID Position Type Full Time/Regular Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization
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Medical Director Hospice Medical Review Contract Job Location Los Angeles, CA Position Type Full Time/Regular Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organizat
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Interventional Cardiologist Contract Home based Job Location Dallas, TX Position Type Consulting Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality r
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Responsible for facilitating and managing assigned projects and contracts relating to pharmacy services. Leads and provides oversight to assigned tasks and contracts, making sure that contract specifications are understood, tasks are assigned appropriately, and information is available and circulated. Essential Duties and Responsibilities include the following. Other duties may be assigned. Manage
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